The town has a great history and it was a district headquarter during Nizam's rule.

The village Naganool (which was named after Nagana) still exists, approximately 1 km southeast of Nagarkurnool.

Around 110 or 120 years ago, Nagarkurnool was a main junction for transport and district headquarters for most of the south Telangana region.

Farmers traveling in this area would buy and apply kandena (grease) for their carts.

TSRTC runs frequent buses from the town to major towns such as Achampet, Kalwakurthy, Kollapur, Mahbubnagar, Wanaparthy and the state capital, Hyderabad.